Provider Demographics
NPI:1588853444
Name:SHROFF, SHARMEEN JAL SORAB
Entity Type:Individual
Prefix:MS
First Name:SHARMEEN
Middle Name:JAL SORAB
Last Name:SHROFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 BALBOA STREET
Mailing Address - Street 2:RICHMOND AREA MULTISERVICES
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121
Mailing Address - Country:US
Mailing Address - Phone:415-668-5955
Mailing Address - Fax:
Practice Address - Street 1:3626 BALBOA STREET
Practice Address - Street 2:RICHMOND AREA MULTISERVICES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121
Practice Address - Country:US
Practice Address - Phone:415-668-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor